Case Management RN

2 months ago

Boulder, United States UnitedHealth Group Full time

We're making a strong connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today

Primary Responsibilities

  • Make outbound calls and receive inbound calls to assess members' current health status

  • Identify gaps or barriers in treatment plans

  • Provide patient education to assist with self-management

  • Make referrals to outside sources

  • Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction

  • Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes.

Required Qualifications

  • Current, unrestricted RN license in the state of employment

  • 3+ years of experience in a hospital, acute care or direct care setting

  • Must be able to type and have the ability to navigate a Windows based environment

Preferred Qualifications

  • BSN

  • A background in managed care

  • Case management experience

  • Certified Case Manager (CCM)

  • Experience or exposure to discharge planning

  • Experience in utilization review, concurrent review or risk management

  • Previous experience in a telephonic role

Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work.SM

UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 6, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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